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Hawaii rates for HCPCS 81521

Oncology (breast), mRNA, microarray gene expression profiling of 70 content genes and 465 housekeeping genes, utilizing fresh frozen or formalin-fixed paraffin-embedded tissue, algorithm reported as index related to risk of distant metastasis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,801.89 / $4,677.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.30 / $3,311.31 / $4,897.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,089.30 / $4,677.35
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,890.45 / $4,570.88 / $4,786.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,265.80 / $4,677.35 / $5,754.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $3,890.45 / $5,754.40
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $5,754.40 / $8,709.64